Individual
MARIAN MICHELLE BETANCES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1313 FOXVIEW DR, BETHLEHEM, PA 18017-2802
(484) 554-7831
Mailing address
1313 FOXVIEW DR, BETHLEHEM, PA 18017-2802
(484) 554-7831
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
253Z00000X
PA
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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